| Abd paracentesis w/imaging (49083) |
$602 |
$860 |
0.6× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$435.40 |
$622 |
0.4× |
| Abdomen Surgery Procedure (22999) |
$2,126.60 |
$3,038 |
7.7× |
| Acne surgery (10040) |
$100.80 |
$144 |
0.5× |
| Acromioplasty or acromionectomy, partial, with or without coracoacromial ligament release Facility (23130) |
$1,626.10 |
$2,323 |
0.4× |
| Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) |
$1,248.80 |
$1,784 |
0.5× |
| Adjnt tis transfr/rearrange trunk 10.1-30.0 sqcm (14001) |
$1,792.70 |
$2,561 |
0.8× |
| Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) |
$2,406.60 |
$3,438 |
0.6× |
| Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) |
$1,378.30 |
$1,969 |
0.6× |
| Adjt tis trnsfr/rearrgmt e/n/e/l dfct 10 sq cm/< (14060) |
$1,500.80 |
$2,144 |
0.7× |
| Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) |
$2,058.70 |
$2,941 |
0.9× |
| Amniocentesis diagnostic (59000) |
$241.50 |
$345 |
0.2× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) |
$1,624 |
$2,320 |
0.4× |
| Amputate metacarpal bone (26910) |
$2,119.60 |
$3,028 |
0.6× |
| Amputation Finger/Thumb (26951) |
$1,661.10 |
$2,373 |
0.5× |
| Amputation foot transmetarsal (28805) |
$1,625.40 |
$2,322 |
0.4× |
| Amputation metatarsal with toe single (28810) |
$973.70 |
$1,391 |
0.3× |
| Amputation thigh through femur any level (27590) |
$2,786.70 |
$3,981 |
0.8× |
| Amputation toe interphalangeal joint (28825) |
$687.40 |
$982 |
0.2× |
| Amputation toe metatarsophalangeal joint (28820) |
$700.70 |
$1,001 |
0.2× |
Amputation, leg, through tibia and fibula; (27880) likely a partial charge, not the full procedure |
$2,041.90 |
$2,917 |
0.3× |
| Amputation, leg, through tibia and fibula; re-amputation Facility (27886) |
$2,370.20 |
$3,386 |
0.7× |
| Anoscopy diagnostic (46600) |
$245.70 |
$351 |
1.7× |
| Anoscopy; with biopsy, single or multiple (46606) |
$231 |
$330 |
0.2× |
| Anrct xm surg req anes general spi/edrl dx (45990) |
$240.10 |
$343 |
0.1× |
Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele, including cystourethroscopy, when… (57240) likely a partial charge, not the full procedure |
$1,570.80 |
$2,244 |
0.3× |
Appendectomy (44950) likely a partial charge, not the full procedure |
$1,753.50 |
$2,505 |
0.2× |
| Appl Mltlayr Compres Leg Below Knee W/Ankle Foot (29581) |
$78.40 |
$112 |
0.4× |
| Appl Multlay Comprs Arm/Hand (29584) |
$46.90 |
$67 |
0.3× |
| Application cast elbow finger short arm (29075) |
$169.40 |
$242 |
0.5× |
| Application cast shoulder hand long arm (29065) |
$198.80 |
$284 |
0.6× |
| Application Finger Splint Dynamic (29131) |
$98 |
$140 |
1.5× |
| Application finger splint static (29130) |
$86.80 |
$124 |
0.6× |
| Application long arm splint shoulder hand (29105) |
$223.30 |
$319 |
1.2× |
| Application Long Leg Cast Walker/Ambulatory Type (29355) |
$311.50 |
$445 |
1.0× |
| Application of hip spica cast; 1 and one-half spica or both legs Facility (29325) |
$519.40 |
$742 |
1.7× |
| Application of long leg cast (29345) |
$303.80 |
$434 |
1.0× |
| Application of rigid total contact leg cast (29445) |
$250.60 |
$358 |
0.8× |
| Application Patellar Tendon Bearing Cast (29435) |
$241.50 |
$345 |
0.8× |
| Application short arm splint forearm-hand static (29125) |
$128.80 |
$184 |
0.9× |
Application uniplane external fixation system (20690) likely a partial charge, not the full procedure |
$1,368.50 |
$1,955 |
0.2× |
| Apply Hand/Wrist Cast (29085) |
$186.90 |
$267 |
1.0× |
| Apply long leg splint (29505) |
$147.70 |
$211 |
0.8× |
| Apply short leg cast (29405) |
$173.60 |
$248 |
0.6× |
| Apply short leg cast (29425) |
$163.10 |
$233 |
0.5× |
| Apply short leg splint (29515) |
$149.80 |
$214 |
0.8× |
| Arterial puncture (36600) |
$140.70 |
$201 |
0.9× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$107.10 |
$153 |
0.3× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$128.10 |
$183 |
0.4× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$439.25 |
$627.50 |
1.3× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$104.30 |
$149 |
0.3× |
| Arthrodesis interphalangeal jt w/wo int fixj (26860) |
$1,461.60 |
$2,088 |
0.4× |
Arthrodesis, metacarpophalangeal joint, with or without internal fixation; with autograft (includes obtaining graft)… (26852) likely a partial charge, not the full procedure |
$2,222.50 |
$3,175 |
0.3× |
| Arthroplasty glenohumeral joint total shoulder (23472) |
$23,852.15 |
$34,074.50 |
1.2× |
Arthroplasty radial head (24365) likely a partial charge, not the full procedure |
$1,675.80 |
$2,394 |
0.1× |
Arthroplasty, femoral condyles or tibial plateau(s), knee; Facility (27442) likely a partial charge, not the full procedure |
$2,372.30 |
$3,389 |
0.2× |
| Arthroplasty, interposition, intercarpal or carpometacarpal joints (25447) |
$1,917.30 |
$2,739 |
0.5× |
Arthroplasty, knee, condyle and plateau; medial OR lateral compartment Facility (27446) likely a partial charge, not the full procedure |
$3,168.20 |
$4,526 |
0.2× |
Arthroplasty, radial head; with implant Facility (24366) likely a partial charge, not the full procedure |
$1,778 |
$2,540 |
0.1× |
Arthroscopically aided posterior cruciate ligament repair/augmentation or reconstruction Facility (29889) likely a partial charge, not the full procedure |
$3,177.30 |
$4,539 |
0.2× |
| Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without… (29851) |
$2,471 |
$3,530 |
1.4× |
| Arthroscopy knee diagnostic w/wo synovial bx spx (29870) |
$1,062.60 |
$1,518 |
0.3× |
| Arthroscopy knee synovectomy 2/>compartments (29876) |
$1,797.60 |
$2,568 |
0.5× |
| Arthroscopy knee synovectomy limited spx (29875) |
$1,355.90 |
$1,937 |
0.4× |
| Arthroscopy knee w/lysis adhesions w/wo manj spx (29884) |
$1,425.90 |
$2,037 |
0.4× |
| Arthroscopy shoulder distal claviculectomy (29824) |
$1,563.80 |
$2,234 |
0.4× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, extensive Facility (29898) |
$1,460.20 |
$2,086 |
0.4× |
Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; with ankle arthrodesis Facility (29899) unusually low: confirm this is the full procedure |
$2,655.10 |
$3,793 |
0.3× |
Arthroscopy, hip, surgical; with debridement/shaving of articular cartilage (chondroplasty), abrasion arthroplasty,… (29862) likely a partial charge, not the full procedure |
$2,119.60 |
$3,028 |
0.3× |
| Arthroscopy, knee, surgical; drilling for intact osteochondritis dissecans lesion Facility (29886) |
$1,684.90 |
$2,407 |
0.5× |
Arthroscopy, knee, surgical; osteochondral allograft (eg, mosaicplasty) Facility (29867) likely a partial charge, not the full procedure |
$3,318 |
$4,740 |
0.2× |
| Arthroscopy, knee, surgical; with lateral release (29873) |
$1,247.40 |
$1,782 |
0.3× |
| Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral, including any meniscal shaving) including… (29880) |
$1,298.50 |
$1,855 |
0.4× |
| Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) Facility (29883) |
$1,933.40 |
$2,762 |
0.5× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) |
$1,586.20 |
$2,266 |
0.4× |
Arthroscopy, shoulder, surgical; biceps tenodesis (29828) likely a partial charge, not the full procedure |
$2,107 |
$3,010 |
0.3× |
Arthroscopy, shoulder, surgical; capsulorrhaphy (29806) unusually low: confirm this is the full procedure |
$2,433.20 |
$3,476 |
0.3× |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) |
$1,368.50 |
$1,955 |
0.4× |
Arthroscopy, shoulder, surgical; repair of slap lesion (29807) likely a partial charge, not the full procedure |
$2,374.40 |
$3,392 |
0.3× |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) |
$9,867.55 |
$14,096.50 |
1.2× |
| Arthrotomy ankle w/expl drainage/removal fb (27610) |
$2,368.10 |
$3,383 |
0.6× |
| Arthrotomy w/synovectomy ankle (27625) |
$1,321.60 |
$1,888 |
0.4× |
| Arthrotomy wrist joint with synovectomy (25105) |
$1,316 |
$1,880 |
0.4× |
| Arthrotomy, elbow, including exploration, drainage, or removal of foreign body Facility (24000) |
$1,301.30 |
$1,859 |
0.4× |
| Arthrotomy, radiocarpal or midcarpal joint, with exploration, drainage, or removal of foreign body Facility (25040) |
$1,491.70 |
$2,131 |
0.4× |
| Arthrotomy, with synovectomy, knee; anterior OR posterior Facility (27334) |
$1,866.20 |
$2,666 |
0.5× |
Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) likely a partial charge, not the full procedure |
$2,242.80 |
$3,204 |
0.3× |
| Arthrs knee debridement/shaving artclr crtlg (29877) |
$1,433.60 |
$2,048 |
0.4× |
| Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) |
$1,043.70 |
$1,491 |
0.6× |
| Arthrt w/expl drg/rmvl loose/fb mttarphlngl jt (28022) |
$1,217.30 |
$1,739 |
0.3× |
| Arthrt wrst w/jt expl w/wo bx w/wo rmvl loose/fb (25101) |
$1,518.30 |
$2,169 |
0.4× |
| Artificial Insemination Intra-Uterine (58322) |
$157.50 |
$225 |
0.7× |
| Artificial insemination; intra-cervical Facility (58321) |
$131.60 |
$188 |
0.4× |
| Aspirate pleura w/ imaging (32555) |
$648.20 |
$926 |
0.9× |
| Aspirate/Inj Ganglion Cyst (20612) |
$127.40 |
$182 |
0.4× |
| Aspiration and/or injection thyroid cyst (60300) |
$140 |
$200 |
0.2× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$230.30 |
$329 |
1.0× |
| Biopsy bone open deep (20245) |
$237.30 |
$339 |
0.1× |
| Biopsy bone open superficial (20240) |
$398.30 |
$569 |
0.1× |
| Biopsy Cervix Single/Mult/Excision Of Lesion Spx (57500) |
$313.60 |
$448 |
0.3× |
| Biopsy external ear (69100) |
$147.70 |
$211 |
0.6× |
| Biopsy of mouth lesion (40808) |
$233.80 |
$334 |
0.4× |
| Biopsy of shoulder joint (23100) |
$1,333.50 |
$1,905 |
0.4× |
| Biopsy or excision of lymph node(s); open, internal mammary node(s) Facility (38530) |
$1,526 |
$2,180 |
0.3× |
| Biopsy or excision of lymph node(s); open, superficial (38500) |
$744.80 |
$1,064 |
0.2× |
| Biopsy soft tissue back,superf (21920) |
$464.10 |
$663 |
0.3× |
| Biopsy soft tissue neck/thorax (21550) |
$473.90 |
$677 |
0.3× |
| Biopsy Vaginal Mucosa Simple (57100) |
$200.90 |
$287 |
0.2× |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) |
$142.80 |
$204 |
0.1× |
| Biopsy/removal lymph nodes (38525) |
$1,159.90 |
$1,657 |
0.3× |
| Biopsy/removal lymph nodes (38510) |
$1,108.80 |
$1,584 |
0.3× |
| Blepharotomy drain absc eyelid (67700) |
$339.50 |
$485 |
1.0× |
| Blood patch (62273) |
$394.10 |
$563 |
0.5× |
| Blood transfusion service (36430) |
$551.60 |
$788 |
1.1× |
| Bone graft for nonunion, femoral head, neck, intertrochanteric or subtrochanteric area (includes obtaining bone graft) (27170) |
$4,319.70 |
$6,171 |
0.5× |
| Bronchosc dx w/w/o fluor&wash (31622) |
$316.40 |
$452 |
0.2× |
| Bx anorectal wall anal approach (45100) |
$879.90 |
$1,257 |
0.3× |
| Bx breast 1st lesion us imag (19083) |
$476.70 |
$681 |
0.3× |
| Bx/exc lymph node needle superficial (38505) |
$161 |
$230 |
0.1× |
| Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) |
$869.40 |
$1,242 |
0.2× |
| Capsular contracture release (23020) |
$1,798.30 |
$2,569 |
0.5× |
Capsulectomy or capsulotomy, hip, with or without excision of heterotopic bone, with release of hip flexor muscles (ie,… (27036) unusually low: confirm this is the full procedure |
$2,761.50 |
$3,945 |
0.3× |
| Capsulectomy/capsulotomy mtcarphlngl joint each (26520) |
$1,833.30 |
$2,619 |
0.5× |
| Capsulotomy, posterior capsular release, knee Facility (27435) |
$2,879.10 |
$4,113 |
0.8× |
| Carpectomy All Bones Proximal Row (25215) |
$2,326.80 |
$3,324 |
0.6× |
| Cautery of cervix; cryocautery, initial or repeat (57511) |
$392 |
$560 |
1.2× |
| Cerclage cervix pregnancy vaginal (59320) |
$340.20 |
$486 |
0.1× |
| Chemical cautery tissue (17250) |
$72.10 |
$103 |
0.3× |
| Cholecystostomy,Percutaneous, Complete (47490) |
$907.90 |
$1,297 |
0.2× |
Chromotubation oviduct (58350) likely a partial charge, not the full procedure |
$252.70 |
$361 |
0.0× |
| Circum 28 days or older (54161) |
$522.90 |
$747 |
0.2× |
| Circumcision (54150) |
$185.50 |
$265 |
0.1× |
| Claviculectomy partial (23120) |
$1,360.80 |
$1,944 |
0.4× |
| Close Rx Prox/Mid Fing Shft Fx (26720) |
$554.40 |
$792 |
2.0× |
| Closed Rx Acetabular Fx,Manipulatn (27222) |
$2,363.90 |
$3,377 |
8.6× |
| Closed Rx Gr Tuberosity Hum Fx (23620) |
$769.30 |
$1,099 |
2.8× |
| Closed Rx Humeral Supracondylar Fx (24530) |
$1,034.60 |
$1,478 |
3.8× |
| Closed Rx Radial Shaft Fx (25500) |
$795.20 |
$1,136 |
2.9× |
| Closed Rx Tibia Shaft Fx (27750) |
$931.70 |
$1,331 |
3.4× |
| Closed Rx Tibial Plateau Fx (27530) |
$616 |
$880 |
2.2× |
| Closed treatment of calcaneal fracture; without manipulation (28400) |
$686 |
$980 |
2.5× |
| Closed treatment of humeral epicondylar fracture, medial or lateral; without manipulation Facility (24560) |
$856.80 |
$1,224 |
3.1× |
| Closed treatment of patellar fracture, without manipulation (27520) |
$650.30 |
$929 |
2.4× |
| Closed treatment of radial and ulnar shaft fractures; without manipulation (25560) |
$745.50 |
$1,065 |
2.7× |
| Closed treatment of talus fracture; without manipulation (28430) |
$615.30 |
$879 |
2.2× |
| Closed treatment of tarsometatarsal joint dislocation; without anesthesia (28600) |
$491.40 |
$702 |
1.8× |
| Closed treatment of trimalleolar ankle fracture with manipulation (27818) |
$2,162.65 |
$3,089.50 |
1.2× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$2,227.75 |
$3,182.50 |
8.1× |
| Closed Treatment Pst Malleolus Fracture W/O Manj (27767) |
$758.80 |
$1,084 |
2.8× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$888.30 |
$1,269 |
3.2× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$991.90 |
$1,417 |
3.6× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$1,149.40 |
$1,642 |
0.6× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$1,360.10 |
$1,943 |
4.9× |
| Closed tx carpal scaphoid fracture w/manj (25624) |
$1,165.50 |
$1,665 |
0.7× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$1,314.60 |
$1,878 |
4.8× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$434.70 |
$621 |
1.6× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
$1,479.10 |
$2,113 |
0.8× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$1,148 |
$1,640 |
4.2× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$626.85 |
$895.50 |
2.3× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$859.52 |
$1,227.88 |
0.5× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$527.80 |
$754 |
1.9× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$1,255.45 |
$1,793.50 |
0.7× |
| Closed tx radial&ulnar shaft fractures w/manj (25565) |
$1,397.20 |
$1,996 |
0.8× |
| Closed Tx Scapular Fracture W/O Manipulation (23570) |
$702.10 |
$1,003 |
2.6× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$84 |
$120 |
0.3× |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) |
$585.20 |
$836 |
2.1× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$714.70 |
$1,021 |
2.6× |
| Closure salivary fistula (42600) |
$926.10 |
$1,323 |
0.3× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$666.40 |
$952 |
2.4× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$1,180.20 |
$1,686 |
0.7× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$610.05 |
$871.50 |
2.2× |
| Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) |
$1,434.30 |
$2,049 |
5.2× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
$1,563.45 |
$2,233.50 |
0.9× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$888.30 |
$1,269 |
0.5× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) |
$641.90 |
$917 |
2.3× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$2,052.40 |
$2,932 |
7.5× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$627.90 |
$897 |
2.3× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$799.40 |
$1,142 |
2.9× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$554.40 |
$792 |
2.0× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$677.60 |
$968 |
2.5× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,528.80 |
$2,184 |
0.9× |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) |
$1,283.80 |
$1,834 |
4.7× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$399.70 |
$571 |
1.5× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$280.70 |
$401 |
1.0× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$452.90 |
$647 |
1.6× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$362.60 |
$518 |
1.3× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$2,406.60 |
$3,438 |
1.3× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o mnpj (27824) |
$890.40 |
$1,272 |
3.2× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$473.55 |
$676.50 |
1.7× |
| Cltx humeral condylar fx medial/lat w/o mnpj (24576) |
$917.70 |
$1,311 |
3.3× |
| Cltx humeral shft fx w/manj w/wo skeletal tracj (24505) |
$1,309.70 |
$1,871 |
0.7× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$280.70 |
$401 |
1.0× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$763.70 |
$1,091 |
2.8× |
| Cltx Medial Malleolus Fx W/O Manipulation (27760) |
$913.50 |
$1,305 |
3.3× |
| Cltx medial malls fx w/manj w/wo skn/skel tracj (27762) |
$1,283.10 |
$1,833 |
0.7× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$1,099 |
$1,570 |
4.0× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$602 |
$860 |
2.2× |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) |
$1,118.60 |
$1,598 |
0.6× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$1,731.10 |
$2,473 |
6.3× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$908.60 |
$1,298 |
3.3× |
| Cltx post hip arthrp dislc req anes (27266) |
$1,546.30 |
$2,209 |
0.9× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$1,263.85 |
$1,805.50 |
4.6× |
| Cltx prox fibula/shft fx w/manj (27781) |
$1,057 |
$1,510 |
0.6× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$837.20 |
$1,196 |
3.0× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$1,610 |
$2,300 |
0.9× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$233.80 |
$334 |
0.9× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) |
$2,128.70 |
$3,041 |
1.2× |
| Cltx shoulder dislc w/surg/antmcl neck fx w/manj (23675) |
$1,330 |
$1,900 |
0.7× |
| Cltx sprcndylr/trnscndylr fem fx w/manj (27503) |
$1,849.40 |
$2,642 |
1.0× |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
$914.20 |
$1,306 |
0.5× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) |
$851.20 |
$1,216 |
3.1× |
| Collect Blood From Catheter Venous Nos (36592) |
$79.80 |
$114 |
0.5× |
| Colonoscopy flex w/blln dilat (45386) |
$590.10 |
$843 |
0.4× |
| Colonoscopy flex w/inj submuc (45381) |
$1,072.40 |
$1,532 |
0.8× |
| Colonoscopy flex w/rem forcep (45384) |
$618.80 |
$884 |
0.5× |
| Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) |
$599.20 |
$856 |
0.4× |
| Colonoscopy w/ablation (45388) |
$730.80 |
$1,044 |
0.5× |
| Colonoscopy w/band ligation (45398) |
$665.70 |
$951 |
0.5× |
| Colonoscopy w/fb removal (45379) |
$1,043.70 |
$1,491 |
0.8× |
| Colonoscopy, flexible; with control of bleeding, any method (45382) |
$939.40 |
$1,342 |
0.7× |
Colpopexy vaginal intraperitoneal approach (57283) likely a partial charge, not the full procedure |
$1,847.30 |
$2,639 |
0.2× |
| Colporrhaphy Suture Injury Vagina (57200) |
$905.10 |
$1,293 |
0.3× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
$334.60 |
$478 |
1.0× |
| Colposcopy cervix upper/adjacent vagina (57452) |
$251.30 |
$359 |
1.1× |
| Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) |
$328.30 |
$469 |
1.0× |
| Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) |
$389.20 |
$556 |
0.1× |
| Colposcopy entire vagina w/cervix if present (57420) |
$172.90 |
$247 |
0.5× |
| Colposcopy,Cervix W/Adj Vagina, Curettag (57456) |
$300.30 |
$429 |
0.9× |
| Colposcopy,Entire Vagina,W/Biopsy(S) (57421) |
$358.40 |
$512 |
0.3× |
Combined anteroposterior colporrhaphy, including cystourethroscopy, when performed; with enterocele repair Facility (57265) unusually low: confirm this is the full procedure |
$2,237.20 |
$3,196 |
0.4× |
Combined anteroposterior colporrhaphy; (57260) unusually low: confirm this is the full procedure |
$2,048.90 |
$2,927 |
0.4× |
| Conization of cervix (57522) |
$712.60 |
$1,018 |
0.2× |
| Contrast Inj Cent Ven Cath, Inc Flouro (36598) |
$167.30 |
$239 |
0.7× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$137.20 |
$196 |
0.9× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$339.50 |
$485 |
2.3× |
Conversion of previous hip surgery to total hip arthroplasty, with or without autograft or allograft Facility (27132) unusually low: confirm this is the full procedure |
$4,579.40 |
$6,542 |
0.3× |
| Correction hammertoe (28285) |
$1,248.80 |
$1,784 |
0.3× |
| Curettage postpartum (59160) |
$644 |
$920 |
0.2× |
Cystorrhaphy, suture of bladder wound, injury or rupture; simple Facility (51860) likely a partial charge, not the full procedure |
$1,977.50 |
$2,825 |
0.2× |
| Cystourethroscopy (52000) |
$214.20 |
$306 |
0.3× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
$1,513.40 |
$2,162 |
0.5× |
| Dcmprn fasct leg ant&/lat&pst cmprt (27602) |
$1,278.20 |
$1,826 |
0.4× |
| Dcmprn fasct leg post compartment only (27601) |
$1,183 |
$1,690 |
0.3× |
| Debride Assoc Open Fx/Disloc Skin/Subq (11010) |
$1,065.40 |
$1,522 |
1.4× |
| Debride nail 1-5 (11720) |
$44.10 |
$63 |
0.7× |
| Debride skin musc at fx site (11011) |
$905.80 |
$1,294 |
1.1× |
| Debride tissue/muscle (11043) |
$467.60 |
$668 |
0.6× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$186.90 |
$267 |
0.4× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$6,343.05 |
$9,061.50 |
3.4× |
| Decomp forearm,1 compart,w/o debride (25020) |
$1,771.70 |
$2,531 |
1.0× |
| Decompression of lower leg (27600) |
$1,071.70 |
$1,531 |
0.3× |
| Delivery placenta separate procedure (59414) |
$242.90 |
$347 |
0.1× |
| Denervation of hip joint (27035) |
$7,690.55 |
$10,986.50 |
2.1× |
| Destroy cerv/thor facet jnt (64633) |
$1,435.62 |
$2,050.88 |
0.7× |
| Destroy internal hemorrhoids (46930) |
$438.20 |
$626 |
0.3× |
| Destroy lumb/sac facet jnt (64635) |
$1,420.92 |
$2,029.88 |
0.7× |
| Destruction anal lesion(s) (46924) |
$478.10 |
$683 |
0.2× |
| Destruction Benign Lesions 15/> (17111) |
$264.60 |
$378 |
1.2× |
| Destruction Benign Lesions Up To 14 (17110) |
$226.10 |
$323 |
1.0× |
| Destruction by neurolytic agent; other peripheral nerve or branch (64640) |
$485.45 |
$693.50 |
0.5× |
| Destruction Lesions Vulva Simple (56501) |
$389.90 |
$557 |
0.2× |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) |
$273.70 |
$391 |
1.2× |
| Destruction neurolytic agt genicular nerve w/img (64624) |
$768.22 |
$1,097.46 |
0.4× |
| Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), extensive (eg,… (54065) |
$334.60 |
$478 |
0.1× |
| Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple;… (54055) |
$249.20 |
$356 |
0.1× |
| Destruction Premalignant Lesion 15/> (17004) |
$298.90 |
$427 |
0.7× |
| Destruction premalignant lesion 1st (17000) |
$133 |
$190 |
0.6× |
| Diagnostic sigmoidoscopy (45330) |
$450.10 |
$643 |
0.4× |
| Dilation and curettage (58120) |
$651 |
$930 |
0.2× |
| Dilation of cervical canal (57800) |
$146.30 |
$209 |
0.0× |
| Dilation of female urethra including suppository and/or instillation; initial (53660) |
$114.80 |
$164 |
0.8× |
| Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch… (35045) |
$3,447.50 |
$4,925 |
0.6× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$355.60 |
$508 |
0.5× |
| Drainage Finger Abscess Simple (26010) |
$517.30 |
$739 |
2.3× |
| Drainage of gum lesion (41800) |
$536.82 |
$766.88 |
3.6× |
| Drainage of hematoma/fluid (10140) |
$322 |
$460 |
0.2× |
| Drainage of hydrocele (55000) |
$239.40 |
$342 |
0.3× |
| Drainage of scrotal wall abscess (55100) |
$504.70 |
$721 |
0.3× |
| Drainage Ovarian Cyst Uni/Bi Spx Abdominal (58805) |
$1,081.50 |
$1,545 |
0.3× |
| Drainage tendon sheath digit&/palm each (26020) |
$1,291.50 |
$1,845 |
0.4× |
| Draw blood off venous device (36591) |
$70 |
$100 |
0.5× |
| Dressing change under anesthesia (15852) |
$122.50 |
$175 |
0.1× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$167.30 |
$239 |
0.7× |
| Dstrj lesion anus simple surg excision (46922) |
$398.30 |
$569 |
0.1× |
| Dstrj lesion anus smpl eltrdsiccation (46910) |
$245 |
$350 |
0.1× |
| Dstrj Lesion Penis Simple Cryosurgery (54056) |
$282.10 |
$403 |
1.3× |
| Egd Ablate Tumor Polyp/Lesion W/Dilation& Wire (43270) |
$606.90 |
$867 |
0.3× |
| Egd balloon dilation esophagus <30 mm diam (43249) |
$2,717.40 |
$3,882 |
1.3× |
| Egd control bleeding any (43255) |
$1,545.60 |
$2,208 |
0.7× |
| Egd dilate stricture (43245) |
$473.20 |
$676 |
0.2× |
| Egd flexible foreign body removal (43247) |
$928.20 |
$1,326 |
0.9× |
| Egd guide wire insertion (43248) |
$448.70 |
$641 |
0.4× |
Egd Partial/Compl Esophagogastric Fundoplasty (43210) likely a partial charge, not the full procedure |
$1,144.50 |
$1,635 |
0.1× |
| Egd place gastrostomy tube (43246) |
$454.30 |
$649 |
0.2× |
| Egd remove lesion snare (43251) |
$548.80 |
$784 |
0.3× |
| Endocervical Curettage (57505) |
$275.10 |
$393 |
0.3× |
| Endometrial Biopsy (58100) |
$203.70 |
$291 |
0.9× |
| Endoscopy Upper Small Intestine (44360) |
$387.80 |
$554 |
0.2× |
| Enterorrhaphy single perforation (44602) |
$3,733.80 |
$5,334 |
0.9× |
| Episiotomy or vaginal repair (59300) |
$404.60 |
$578 |
0.1× |
| Evacuation of subungual hematoma (11740) |
$99.40 |
$142 |
0.7× |
| Ex tum/vasc mal sft tis hand/fngr subfsc 1.5+cm (26113) |
$1,603.70 |
$2,291 |
0.9× |
| Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) |
$960.40 |
$1,372 |
0.5× |
| Exc abdl tum deep 5 cm/> (22901) |
$1,723.40 |
$2,462 |
0.5× |
| Exc arm/elbow les sc < 3 cm (24075) |
$995.40 |
$1,422 |
0.5× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
$255.50 |
$365 |
0.3× |
| Exc B9 Lesion Mrgn Xcp Sk Tg S/N/H/F/G 0.5 Cm/< (11420) |
$255.50 |
$365 |
0.1× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$406.70 |
$581 |
0.2× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$465.50 |
$665 |
0.3× |
| Exc b9 lesion mrgn xcp sk tg t/a/l 1.1-2.0 cm (11402) |
$343 |
$490 |
0.4× |
| Exc back les sc < 3 cm (21930) |
$1,060.50 |
$1,515 |
0.6× |
| Exc back tum deep < 5 cm (21932) |
$1,932 |
$2,760 |
0.6× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$287.70 |
$411 |
0.4× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$452.20 |
$646 |
0.2× |
| Exc forearm les sc 3 cm/> (25071) |
$1,556.10 |
$2,223 |
0.8× |
| Exc Frenum Labial/Buccal (40819) |
$529.20 |
$756 |
0.3× |
| Exc ganglion wrist recurrent (25112) |
$1,054.90 |
$1,507 |
0.6× |
| Exc hydrocele sprmatic cord uni spx (55500) |
$1,054.90 |
$1,507 |
0.3× |
| Exc lesion tendon sheath/capsule w/synvct foot (28090) |
$844.20 |
$1,206 |
0.5× |
| Exc lesion tendon sheath/capsule w/synvct toe ea (28092) |
$1,010.10 |
$1,443 |
0.6× |
| Exc neck tum deep < 5 cm (21556) |
$1,434.30 |
$2,049 |
0.4× |
| Exc rect tum transanal part (45171) |
$1,435 |
$2,050 |
0.5× |
Exc skin abd (15830) unusually low: confirm this is the full procedure |
$2,681 |
$3,830 |
0.4× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$319.20 |
$456 |
0.4× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$312.20 |
$446 |
0.7× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$393.40 |
$562 |
0.5× |
| Exc Skin Benig 3.1- 4 Cm Face,Facial (11444) |
$662.90 |
$947 |
0.4× |
| Exc Skin Benig >4 Cm Face,Facial (11446) |
$950.60 |
$1,358 |
0.3× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$656.60 |
$938 |
0.2× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$629.30 |
$899 |
0.3× |
| Exc Skin Malig >4 Cm Face,Facial (11646) |
$993.30 |
$1,419 |
0.3× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$884.80 |
$1,264 |
0.3× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$966 |
$1,380 |
0.5× |
| Exc thigh/knee les sc 3 cm/> (27337) |
$1,260 |
$1,800 |
0.4× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) |
$445.20 |
$636 |
0.2× |
| Exc tum/vas mal sft tis hand/fngr subfasc<1.5cm (26116) |
$1,973.30 |
$2,819 |
1.1× |
| Exc tum/vasc mal sft tiss hand/fngr subq <1.5cm (26115) |
$1,003.10 |
$1,433 |
0.5× |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) |
$1,342.60 |
$1,918 |
0.4× |
| Exc tumor soft tiss back/flank subfascial 5 cm/> (21933) |
$1,952.30 |
$2,789 |
0.6× |
| Exc tumor soft tiss shoulder subfasc <5cm (23076) |
$1,432.90 |
$2,047 |
0.4× |
| Exc tumor soft tiss upper arm/elbw subfasc 5+cm (24073) |
$2,086 |
$2,980 |
0.6× |
| Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) |
$1,593.20 |
$2,276 |
0.5× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) |
$966.70 |
$1,381 |
0.5× |
| Exc tumor soft tissue forearm &/wrist subq <3cm (25075) |
$926.10 |
$1,323 |
0.5× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$890.40 |
$1,272 |
0.5× |
| Exc tumor soft tissue thigh/knee subfasc <5cm (27328) |
$1,871.80 |
$2,674 |
0.6× |
| Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) |
$1,223.60 |
$1,748 |
0.4× |
| Excise lesion testis (54512) |
$1,488.20 |
$2,126 |
0.4× |
| Excision Breast Lesion (19125) |
$1,213.10 |
$1,733 |
0.3× |
| Excision Hidradenitis Axillary Smpl/Intrm Rpr (11450) |
$675.50 |
$965 |
0.2× |
| Excision Hidradenitis Inguinal Smpl/Intrm Rpr (11462) |
$1,001 |
$1,430 |
0.3× |
| Excision hydrocele bilateral (55041) |
$1,880.90 |
$2,687 |
0.5× |
| Excision lesion tendon sheath forearm&/wrist (25110) |
$908.60 |
$1,298 |
0.5× |
| Excision Lingual Frenum Frenectomy (41115) |
$396.20 |
$566 |
0.2× |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) |
$395.50 |
$565 |
0.5× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$455 |
$650 |
0.6× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$485.10 |
$693 |
1.1× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$591.50 |
$845 |
0.7× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$613.90 |
$877 |
0.8× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$406.70 |
$581 |
0.5× |
| Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) |
$470.40 |
$672 |
0.6× |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
$531.30 |
$759 |
0.7× |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) |
$622.30 |
$889 |
0.3× |
| Excision Malignant Lesion F/E/E/N/L 3.1-4.0 Cm (11644) |
$765.80 |
$1,094 |
0.4× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
$396.20 |
$566 |
0.2× |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) |
$440.30 |
$629 |
0.6× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$502.60 |
$718 |
0.6× |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
$620.90 |
$887 |
0.3× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$704.90 |
$1,007 |
0.4× |
| Excision Multiple External Papillae/Tags Anus (46230) |
$505.40 |
$722 |
0.2× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$347.90 |
$497 |
0.4× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$384.30 |
$549 |
0.5× |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) |
$756.70 |
$1,081 |
0.4× |
| Excision of hydrocele unilateral (55040) |
$877.80 |
$1,254 |
0.2× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$357 |
$510 |
0.2× |
| Excision of local lesion of epididymis (54830) |
$996.80 |
$1,424 |
0.3× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$858.20 |
$1,226 |
0.3× |
| Excision of single external papilla or tag, anus (46220) |
$509.60 |
$728 |
0.4× |
| Excision of thrombosed hemorrhoid, external (46320) |
$335.30 |
$479 |
0.3× |
| Excision of tongue lesion (41112) |
$767.90 |
$1,097 |
0.2× |
Excision of urachal cyst or sinus, with or without umbilical hernia repair Facility (51500) likely a partial charge, not the full procedure |
$1,691.90 |
$2,417 |
0.3× |
| Excision of vaginal cyst or tumor (57135) |
$476.70 |
$681 |
0.1× |
| Excision olecranon bursa (24105) |
$840 |
$1,200 |
0.2× |
| Excision or curettage of bone cyst or benign tumor of proximal humerus; Facility (23150) |
$1,766.80 |
$2,524 |
0.5× |
| Excision pilonidal cyst/sinus complicated (11772) |
$2,150.40 |
$3,072 |
0.7× |
| Excision prepatellar bursa (27340) |
$1,118.60 |
$1,598 |
0.3× |
| Excision radial head (24130) |
$1,388.10 |
$1,983 |
0.4× |
| Excision soft tissue lesion, external auditory canal (69145) |
$737.80 |
$1,054 |
0.2× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$1,306.90 |
$1,867 |
0.7× |
| Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) |
$1,140.30 |
$1,629 |
0.4× |
| Excision tumor soft tissue foot/toe subq <1.5cm (28043) |
$893.90 |
$1,277 |
0.5× |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) |
$1,228.50 |
$1,755 |
0.7× |
| Excision tumor soft tissue shoulder subq <3cm (23075) |
$901.60 |
$1,288 |
0.5× |
| Excision tumor soft tissue thigh/knee subq <3cm (27327) |
$912.10 |
$1,303 |
0.5× |
| Excision, excessive skin and subcutaneous tissue (includes lipectomy); other area (15839) |
$2,149.70 |
$3,071 |
0.7× |
| Excision, excessive skin and subcutaneous tissue (includes lipectomy); thigh Facility (15832) |
$2,485.70 |
$3,551 |
0.8× |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) |
$1,321.60 |
$1,888 |
0.4× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; 2 cm or greater (21012) |
$1,022 |
$1,460 |
0.6× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) |
$750.40 |
$1,072 |
0.4× |
| Excision, tumor, soft tissue of forearm and/or wrist area, subfascial (eg, intramuscular); 3 cm or greater Facility (25073) |
$1,243.20 |
$1,776 |
0.4× |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) |
$1,099 |
$1,570 |
0.3× |
| Excision, tumor, soft tissue of leg or ankle area, subfascial (eg, intramuscular); less than 5 cm Facility (27619) |
$953.40 |
$1,362 |
0.3× |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) |
$1,366.40 |
$1,952 |
0.4× |
| Excision; trochanteric bursa or calcification (27062) |
$1,243.90 |
$1,777 |
0.3× |
| Expl W/Removal Deep Foreign Body Forearm/Wrist (25248) |
$1,096.20 |
$1,566 |
0.6× |
| Explo/Drain Breast Abscess (19020) |
$837.20 |
$1,196 |
0.5× |
| Exploration of knee joint (27310) |
$1,943.20 |
$2,776 |
0.5× |
| Exploration penetrating wound spx extremity (20103) |
$1,016.40 |
$1,452 |
0.6× |
| Explore & Treat Metacarpo-Phal Jt (26075) |
$887.60 |
$1,268 |
0.2× |
Explore Parathyroid Glands (60500) unusually low: confirm this is the full procedure |
$2,554.30 |
$3,649 |
0.4× |
| Explore/Treat Elbow Joint (24101) |
$1,330 |
$1,900 |
0.4× |
| Explore/treat hand joint (26070) |
$849.80 |
$1,214 |
0.5× |
| Explore/Treat Knee Joint (27331) |
$1,292.90 |
$1,847 |
0.4× |
| External cephalic version (59412) |
$272.30 |
$389 |
0.1× |
Extraoral incision and drainage of abscess, cyst, or hematoma of floor of mouth; submental Facility (41016) likely a partial charge, not the full procedure |
$916.30 |
$1,309 |
0.1× |
| Fasciectomy Palm Only (26121) |
$1,633.10 |
$2,333 |
0.4× |
| Fasciectomy, plantar fascia; radical (separate procedure) Facility (28062) |
$1,084.30 |
$1,549 |
0.3× |
| Fasciotomy palmar open partial (26045) |
$1,097.60 |
$1,568 |
0.3× |
| Fasciotomy palmar percutaneous (26040) |
$830.20 |
$1,186 |
0.5× |
| Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) |
$3,138.80 |
$4,484 |
0.9× |
| Fetal non-stress test (59025) |
$89.60 |
$128 |
0.4× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$274.40 |
$392 |
0.3× |
| Fine needle aspiration without imaging guidance (10021) |
$202.30 |
$289 |
0.4× |
| Fit/Insert Intravag Support Device (57160) |
$147.70 |
$211 |
0.7× |
| Fitting of diaphragm/cap (57170) |
$156.10 |
$223 |
0.7× |
| Fixation of shoulder (23700) |
$536.20 |
$766 |
0.3× |
| Foreskin manipulation (54450) |
$284.20 |
$406 |
1.0× |
| Frenoplasty (surgical revision of frenum, eg, with Z-plasty) Facility (41520) |
$741.30 |
$1,059 |
0.2× |
| Fth/Gft Fr W/Dir Clsr F/C/C/M/N/Ax/G/H/F 20 Cm/< (15240) |
$2,191.70 |
$3,131 |
1.0× |
| Fth/gft free w/direct closure s/a/l 20 cm/< (15220) |
$1,187.20 |
$1,696 |
0.5× |
| Fusion/graft of finger joint (26862) |
$2,914.80 |
$4,164 |
0.8× |
| Gastrorrhaphy sutr prf8 duol/gstr ulcer wnd/inj (43840) |
$3,619.70 |
$5,171 |
0.8× |
| Gastrostomy opn w/o constj gstr tube spx (43830) |
$1,819.30 |
$2,599 |
0.9× |
| Hallux rigidus w/cheilectomy 1st mp jt w/o implt (28289) |
$1,601.60 |
$2,288 |
0.4× |
Hemiarthroplasty hip partial (27125) likely a partial charge, not the full procedure |
$2,924.60 |
$4,178 |
0.2× |
| Hemiphalangectomy or interphalangeal joint excision, toe, proximal end of phalanx, each Facility (28160) |
$960.40 |
$1,372 |
0.3× |
| Hemorrhoidectomy (46255) |
$947.10 |
$1,353 |
0.3× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) |
$1,119.30 |
$1,599 |
0.4× |
| Hemorrhoidectomy, internal, by ligation other than rubber band; 2 or more hemorrhoid columns/groups, without imaging… (46946) |
$601.30 |
$859 |
0.2× |
| Hemorrhoidopexy by stapling (46947) |
$896 |
$1,280 |
0.3× |
| Hysteroscopy biopsy (58558) |
$3,304.70 |
$4,721 |
0.9× |
Hysteroscopy removal leiomyomata (58561) likely a partial charge, not the full procedure |
$814.10 |
$1,163 |
0.1× |
| Hysteroscopy w endometrial ablation (58563) |
$5,284.30 |
$7,549 |
0.9× |
| Hysteroscopy, surgical; with removal of impacted foreign body (58562) |
$1,036.70 |
$1,481 |
0.3× |
| I&d abscess simple (10060) |
$234.50 |
$335 |
1.0× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$1,337.70 |
$1,911 |
0.4× |
| I&d epididymis tstis&/scrotal space (54700) |
$608.30 |
$869 |
0.3× |
| I&d pelvis/hip jt area deep abscess/hematoma (26990) |
$1,590.40 |
$2,272 |
0.4× |
| I&d pilonidal cyst simple (10080) |
$299.60 |
$428 |
0.4× |
| I&d shoulder deep abscess/hematoma (23030) |
$659.40 |
$942 |
0.2× |
| I&d submucosal abscess rectum (45005) |
$470.40 |
$672 |
0.4× |
| I&D Upper Arm/Elbow Bursa (23931) |
$413 |
$590 |
0.2× |
| I&d vulva/perineal abscess (56405) |
$323.40 |
$462 |
1.0× |
| Ileoscopy stoma w/balloon dilation (44381) |
$226.10 |
$323 |
0.1× |
| Incise external hemorrhoid (46083) |
$424.90 |
$607 |
1.5× |
| Incise finger tendon sheath (26055) |
$3,414.25 |
$4,877.50 |
1.9× |
| Incision & drainage abscess complicated/multiple (10061) |
$499.80 |
$714 |
1.1× |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
$1,431.50 |
$2,045 |
0.4× |
| Incision & drainage pilonidal cyst complicated (10081) |
$463.40 |
$662 |
0.6× |
| Incision & removal foreign body subq tiss compl (10121) |
$557.90 |
$797 |
0.3× |
| Incision & removal foreign body subq tiss simple (10120) |
$298.90 |
$427 |
0.7× |
| Incision and drainage of bartholin's gland abscess (56420) |
$270.20 |
$386 |
1.2× |
| Incision and drainage perianal abscess superficial (46050) |
$482.30 |
$689 |
0.5× |
| Incision and drainage, complex, postoperative wound infection (10180) |
$536.90 |
$767 |
0.2× |
| Incision and drainage, upper arm or elbow area; deep abscess or hematoma (23930) |
$619.50 |
$885 |
0.2× |
| Incision extensor tendon sheath wrist (25000) |
$805.70 |
$1,151 |
0.4× |
| Incision of labial frenum (frenotomy) (40806) |
$94.50 |
$135 |
0.2× |
| Incision of lingual frenum (frenotomy) (41010) |
$442.40 |
$632 |
0.3× |
| Incision of rectal abscess (46040) |
$1,220.10 |
$1,743 |
0.9× |
| Incision, flexor tendon sheath, wrist (eg, flexor carpi radialis) Facility (25001) |
$907.20 |
$1,296 |
0.2× |
| Incisional biopsy skin single lesion (11106) |
$315 |
$450 |
0.4× |
| Inj paravert f jnt c/t 1 lev (64490) |
$694.75 |
$992.50 |
0.7× |
| Inj tendon sheath/ligament (20550) |
$113.40 |
$162 |
0.3× |
| Inj therapeutic carpal tunnel (20526) |
$161.70 |
$231 |
0.5× |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
$273 |
$390 |
0.3× |
| Inject Nerv Blck,Axillary Nerv (64417) |
$285.95 |
$408.50 |
0.3× |
| Inject Nerv Blck,Intercostal,One (64420) |
$451.50 |
$645 |
0.6× |
| Inject Nerv Blck,Paravert Sympath (64520) |
$413.70 |
$591 |
0.4× |
| Inject Tendon Origin/Insert (20551) |
$114.80 |
$164 |
0.3× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$382.20 |
$546 |
0.5× |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) |
$279.95 |
$399.92 |
0.4× |
| Injection Aa&/Strd Other Peripheral Nerve/Branch (64450) |
$150.50 |
$215 |
0.2× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$227.50 |
$325 |
0.7× |
| Injection anesthetic agent femoral nerve single (64447) |
$121.10 |
$173 |
0.2× |
| Injection anesthetic agent suprascapular nerve (64418) |
$280.70 |
$401 |
0.4× |
| Injection for identification of sentinel node (38792) |
$109.20 |
$156 |
0.2× |
| Injection into skin lesions (11900) |
$113.40 |
$162 |
0.5× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$105.70 |
$151 |
0.3× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$121.10 |
$173 |
0.4× |
| Insert cath pleura w/o image (32556) |
$317.10 |
$453 |
0.1× |
| Insert Drug Implant Device (11981) |
$199.50 |
$285 |
1.3× |
| Insert gastrostomy tube percutaneous (49440) |
$521.50 |
$745 |
0.2× |
| Insert non-tunnel cv cath (36556) |
$576.80 |
$824 |
0.2× |
| Insert Temp Bladder Cath (51702) |
$87.50 |
$125 |
0.6× |
| Insert tunneled cv cath (36561) |
$4,767.35 |
$6,810.50 |
1.4× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$88.90 |
$127 |
0.6× |
| Insj picc rs&i 5 yr+ (36573) |
$446.25 |
$637.50 |
0.3× |
Insj Tun Vad Req 2 Cath 2 Sits W/Subq Port (36566) likely a partial charge, not the full procedure |
$1,293.60 |
$1,848 |
0.2× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$665 |
$950 |
0.2× |
| Int hrhc by ligation single hroid w/o img gdn (46945) |
$1,274 |
$1,820 |
0.4× |
| Intubation endotracheal emergency procedure (31500) |
$97.24 |
$138.92 |
0.4× |
| Knee Arthroscopy/Surgery (29874) |
$1,465.80 |
$2,094 |
0.4× |
| Knee Arthroscopy/Surgery (29879) |
$1,523.90 |
$2,177 |
0.4× |
| Lap ing hernia repair init (49650) |
$6,396.25 |
$9,137.50 |
0.9× |
| Lap paraesoph her rpr w/mesh (43282) |
$6,138.30 |
$8,769 |
0.5× |
Lap paraesophag hern repair (43281) unusually low: confirm this is the full procedure |
$3,945.20 |
$5,636 |
0.3× |
Laparoscopic treatment of ectopic pregnancy; with salpingectomy and/or oophorectomy (59151) likely a partial charge, not the full procedure |
$1,759.80 |
$2,514 |
0.3× |
| Laparoscopy appendectomy (44970) |
$7,261.80 |
$10,374 |
1.1× |
Laparoscopy biopsy (49321) likely a partial charge, not the full procedure |
$944.30 |
$1,349 |
0.1× |
Laparoscopy tot hysterectomy >250 g w/tube/ovar (58573) likely a partial charge, not the full procedure |
$2,795.80 |
$3,994 |
0.2× |
| Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571) |
$7,765.80 |
$11,094 |
0.7× |
| Laparoscopy w/rmvl adnexal structures (58661) |
$9,128 |
$13,040 |
1.4× |
Laparoscopy, surgical, colpopexy (suspension of vaginal apex) (57425) likely a partial charge, not the full procedure |
$2,238.60 |
$3,198 |
0.2× |
Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure) (44180) unusually low: confirm this is the full procedure |
$2,097.90 |
$2,997 |
0.3× |
Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280) likely a partial charge, not the full procedure |
$2,456.30 |
$3,509 |
0.2× |
| Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device and subcutaneous… (43774) |
$2,548 |
$3,640 |
0.6× |
Laparoscopy, surgical, myomectomy, excision; 1 to 4 intramural myomas with total weight of 250 g or less and/or removal… (58545) unusually low: confirm this is the full procedure |
$2,069.90 |
$2,957 |
0.3× |
Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; (58570) likely a partial charge, not the full procedure |
$1,855 |
$2,650 |
0.2× |
Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s)… (58552) likely a partial charge, not the full procedure |
$2,588.60 |
$3,698 |
0.2× |
Laparoscopy, surgical; cholecystectomy with cholangiography (47563) likely a partial charge, not the full procedure |
$1,645.70 |
$2,351 |
0.2× |
Laparoscopy, surgical; repair recurrent inguinal hernia (49651) likely a partial charge, not the full procedure |
$1,299.20 |
$1,856 |
0.2× |
Laparoscopy, surgical; urethral suspension for stress incontinence Facility (51990) likely a partial charge, not the full procedure |
$1,696.10 |
$2,423 |
0.3× |
Laparoscopy, surgical; with fulguration of oviducts (with or without transection) (58670) likely a partial charge, not the full procedure |
$954.80 |
$1,364 |
0.1× |
Laparoscopy, surgical; with lysis of adhesions (salpingolysis, ovariolysis) (separate procedure) Facility (58660) likely a partial charge, not the full procedure |
$1,810.20 |
$2,586 |
0.3× |
Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) likely a partial charge, not the full procedure |
$752.50 |
$1,075 |
0.1× |
Laps fulg/exc ovary viscera/peritoneal surface (58662) likely a partial charge, not the full procedure |
$1,635.20 |
$2,336 |
0.2× |
Laps supracrv hysterect 250 gm/< rmvl tube/ovar (58542) likely a partial charge, not the full procedure |
$3,074.40 |
$4,392 |
0.3× |
Laps Surg W/Aspir Cavity/Cyst Single/Multiple (49322) likely a partial charge, not the full procedure |
$858.20 |
$1,226 |
0.1× |
| Laryngoscopy flexible diagnostic (31575) |
$350 |
$500 |
1.6× |
| Late closure of wound (13160) |
$1,826.30 |
$2,609 |
0.5× |
| Lateral retinacular release open (27425) |
$1,054.20 |
$1,506 |
0.3× |
Ligamentous reconstruction (augmentation), knee; extra-articular (27427) likely a partial charge, not the full procedure |
$1,729 |
$2,470 |
0.2× |
Ligamentous reconstruction knee intra-articular (27428) likely a partial charge, not the full procedure |
$2,900.80 |
$4,144 |
0.2× |
| Ligation of hemorrhoid(s) (46221) |
$575.40 |
$822 |
0.6× |
| Ligation or biopsy temporal artery (37609) |
$550.20 |
$786 |
0.3× |
| Ligj Divj &/Excj Varicose Vein Cluster 1 Leg (37785) |
$713.30 |
$1,019 |
0.2× |
| Lysis of labial adhesions (56441) |
$406.70 |
$581 |
0.1× |
| Manipulation knee joint under general anesthesia (27570) |
$411.60 |
$588 |
0.2× |
| Manipulation of ankle under general anesthesia (includes application of traction or other fixation apparatus) Facility (27860) |
$501.90 |
$717 |
0.1× |
| Manipulation, elbow, under anesthesia (24300) |
$1,135.40 |
$1,622 |
0.6× |
| Manipulation, finger joint, under anesthesia, each joint (26340) |
$990.50 |
$1,415 |
0.6× |
| Manipulation, wrist, under anesthesia (25259) |
$1,125.60 |
$1,608 |
0.6× |
| Marsupialization Bartholins Gland Cyst (56440) |
$415.80 |
$594 |
0.1× |
| Mastectomy for gynecomastia (19300) |
$1,372.70 |
$1,961 |
0.3× |
| Mastectomy partial (19301) |
$1,701.70 |
$2,431 |
0.4× |
Mastectomy simple complete (19303) unusually low: confirm this is the full procedure |
$2,536.80 |
$3,624 |
0.3× |
| Muscle-skin graft trunk (15734) |
$2,687.30 |
$3,839 |
0.7× |
| Myomectomy 1-4 myomas 250 gm/< vaginal appr (58145) |
$1,479.80 |
$2,114 |
0.4× |
| N Block Inj Ilio-Ing/Hypogi (64425) |
$559.30 |
$799 |
0.7× |
| N Block Inj, Plantar Digit (64455) |
$59.50 |
$85 |
0.2× |
| Ndsc wrst surg w/rls transvrs carpl ligm (29848) |
$1,183 |
$1,690 |
0.7× |
| Neuroplasty &/transposition ulnar nerve wrist (64719) |
$1,068.90 |
$1,527 |
0.5× |
| Neuroplasty and/or transposition; median nerve at carpal tunnel (64721) |
$4,567.50 |
$6,525 |
2.1× |
| Neurp Major Prph Nrv Arm/Leg Opn Oth/Thn Spec (64708) |
$1,362.90 |
$1,947 |
0.6× |
| Njx aa&/strd sciatic nerve (64445) |
$310.80 |
$444 |
0.4× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$665.35 |
$950.50 |
0.7× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$526.40 |
$752 |
0.7× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62320) |
$482.30 |
$689 |
0.6× |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62324) |
$514.50 |
$735 |
0.5× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$485.80 |
$694 |
0.6× |
| Occipital Nerve Block (64405) |
$147 |
$210 |
0.4× |
Omntc epiploectomy rescj omentum spx (49255) likely a partial charge, not the full procedure |
$2,109.10 |
$3,013 |
0.3× |
| Open biopsy/excision inguinofemoral nodes (38531) |
$1,161.30 |
$1,659 |
0.3× |
Open Treatment Bimalleolar Ankle Fracture (27814) likely a partial charge, not the full procedure |
$1,762.60 |
$2,518 |
0.2× |
Open treatment calcaneal fracture (28415) unusually low: confirm this is the full procedure |
$3,059 |
$4,370 |
0.4× |
Open treatment fracture distal tibia only (27827) likely a partial charge, not the full procedure |
$2,592.80 |
$3,704 |
0.2× |
Open treatment greater trochanteric fracture (27248) likely a partial charge, not the full procedure |
$2,028.60 |
$2,898 |
0.3× |
Open Treatment Medial Malleolus Fracture (27766) likely a partial charge, not the full procedure |
$1,400 |
$2,000 |
0.2× |
Open treatment metatarsal fracture each (28485) likely a partial charge, not the full procedure |
$1,302.70 |
$1,861 |
0.2× |
Open treatment of acromioclavicular dislocation, acute or chronic; Facility (23550) likely a partial charge, not the full procedure |
$1,534.40 |
$2,192 |
0.2× |
Open treatment of acromioclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft)… (23552) likely a partial charge, not the full procedure |
$1,512.70 |
$2,161 |
0.2× |
Open treatment of clavicular fracture, includes internal fixation, when performed (23515) likely a partial charge, not the full procedure |
$1,661.10 |
$2,373 |
0.2× |
Open treatment of distal radioulnar dislocation, acute or chronic Facility (25676) likely a partial charge, not the full procedure |
$1,673.70 |
$2,391 |
0.2× |
Open treatment of femoral fracture, distal end, medial or lateral condyle, includes internal fixation, when performed… (27514) likely a partial charge, not the full procedure |
$2,508.10 |
$3,583 |
0.2× |
Open treatment of femoral shaft fracture with plate/screws, with or without cerclage Facility (27507) unusually low: confirm this is the full procedure |
$2,584.40 |
$3,692 |
0.3× |
Open treatment of femoral shaft fracture, with or without external fixation, with insertion of intramedullary implant,… (27506) unusually low: confirm this is the full procedure |
$3,540.60 |
$5,058 |
0.4× |
Open treatment of femoral supracondylar or transcondylar fracture with intercondylar extension, includes internal… (27513) unusually low: confirm this is the full procedure |
$4,452.70 |
$6,361 |
0.3× |
Open treatment of femoral supracondylar or transcondylar fracture without intercondylar extension, includes internal… (27511) likely a partial charge, not the full procedure |
$2,461.90 |
$3,517 |
0.2× |
Open treatment of greater humeral tuberosity fracture, includes internal fixation, when performed Facility (23630) likely a partial charge, not the full procedure |
$2,128 |
$3,040 |
0.3× |
Open treatment of humeral condylar fracture, medial or lateral, includes internal fixation, when performed Facility (24579) likely a partial charge, not the full procedure |
$2,203.60 |
$3,148 |
0.2× |
Open treatment of patellar dislocation, with or without partial or total patellectomy Facility (27566) unusually low: confirm this is the full procedure |
$3,261.30 |
$4,659 |
0.4× |
Open treatment of radial head or neck fracture, includes internal fixation or radial head excision, when performed;… (24666) likely a partial charge, not the full procedure |
$1,947.40 |
$2,782 |
0.1× |
Open treatment of radial shaft fracture, includes internal fixation, when performed (25515) likely a partial charge, not the full procedure |
$1,827 |
$2,610 |
0.2× |
Open treatment of shoulder dislocation, with fracture of greater humeral tuberosity, includes internal fixation, when… (23670) likely a partial charge, not the full procedure |
$2,314.90 |
$3,307 |
0.3× |
Open treatment of tibial shaft fracture (with or without fibular fracture), with plate/screws, with or without cerclage… (27758) likely a partial charge, not the full procedure |
$2,433.90 |
$3,477 |
0.2× |
Open treatment of ulnar shaft fracture, includes internal fixation, when performed Facility (25545) likely a partial charge, not the full procedure |
$1,697.50 |
$2,425 |
0.2× |
Open treatment of ulnar styloid fracture (25652) likely a partial charge, not the full procedure |
$1,443.40 |
$2,062 |
0.2× |
Open treatment posterior malleolus fracture (27769) likely a partial charge, not the full procedure |
$1,680.70 |
$2,401 |
0.2× |
Open Treatment Proximal Humeral Fracture (23615) likely a partial charge, not the full procedure |
$2,033.50 |
$2,905 |
0.1× |
Open treatment talus fracture (28445) unusually low: confirm this is the full procedure |
$2,795.10 |
$3,993 |
0.3× |
Open treatment tarsometatarsal joint dislocation (28615) likely a partial charge, not the full procedure |
$2,202.20 |
$3,146 |
0.3× |
| Open tx articular fracture mcp/ip joint ea (26746) |
$2,736.30 |
$3,909 |
0.8× |
Open tx carpal scaphoid navicular fracture (25628) likely a partial charge, not the full procedure |
$1,664.60 |
$2,378 |
0.2× |
Open Tx Distal Fibular Fracture Lat Malleolus (27792) likely a partial charge, not the full procedure |
$1,491.70 |
$2,131 |
0.2× |
| Open Tx Distal Phalangeal Fracture Each (26765) |
$1,168.30 |
$1,669 |
0.3× |
Open Tx Distal Tibiofibular Joint Disruption (27829) likely a partial charge, not the full procedure |
$1,647.80 |
$2,354 |
0.2× |
| Open tx fracture phalanx/phalanges not great toe (28525) |
$1,327.20 |
$1,896 |
0.4× |
Open Tx Humeral Epicondylar Fracture (24575) likely a partial charge, not the full procedure |
$1,691.90 |
$2,417 |
0.1× |
| Open tx interphalangeal joint dislocation (26785) |
$1,269.10 |
$1,813 |
0.3× |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) |
$1,334.90 |
$1,907 |
0.4× |
| Open tx metatarsophalangeal joint dislocation (28645) |
$1,512 |
$2,160 |
0.4× |
| Open tx phalangeal shaft fracture prox/middle ea (26735) |
$1,379 |
$1,970 |
0.4× |
Open tx tarsal fracture xcp talus & calcaneus ea (28465) likely a partial charge, not the full procedure |
$1,474.20 |
$2,106 |
0.2× |
Open tx trimalleolar ankle fx w/o fixj pst lip (27822) likely a partial charge, not the full procedure |
$2,034.20 |
$2,906 |
0.3× |
Open tx ulnar fx proximal end (24685) likely a partial charge, not the full procedure |
$1,512.70 |
$2,161 |
0.2× |
Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608) likely a partial charge, not the full procedure |
$1,908.90 |
$2,727 |
0.2× |
Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609) unusually low: confirm this is the full procedure |
$3,073 |
$4,390 |
0.4× |
Optx dstl radl x-artic fx/epiphysl sep (25607) likely a partial charge, not the full procedure |
$1,708 |
$2,440 |
0.2× |
Optx fem fx prox end nck int fixj/prostc rplcmt (27236) unusually low: confirm this is the full procedure |
$2,732.10 |
$3,903 |
0.3× |
Optx humeral shft fx w/plate/screws w/wocerclage (24515) likely a partial charge, not the full procedure |
$2,571.80 |
$3,674 |
0.2× |
Optx tibial fx prox bicondylar w/wo int fixj (27536) unusually low: confirm this is the full procedure |
$3,250.80 |
$4,644 |
0.4× |
| Ostectomy calcaneus (28118) |
$1,135.40 |
$1,622 |
0.3× |
| Ostectomy, partial, exostectomy or condylectomy, metatarsal head, each metatarsal head (28288) |
$1,152.90 |
$1,647 |
0.3× |
Osteoplasty, radius OR ulna; shortening Facility (25390) likely a partial charge, not the full procedure |
$2,038.40 |
$2,912 |
0.3× |
Osteotomy radius distal third (25350) likely a partial charge, not the full procedure |
$1,789.90 |
$2,557 |
0.2× |
Osteotomy, clavicle, with or without internal fixation; with bone graft for nonunion or malunion (includes obtaining… (23485) likely a partial charge, not the full procedure |
$2,534 |
$3,620 |
0.2× |
Ovarian cystectomy (58925) unusually low: confirm this is the full procedure |
$2,011.10 |
$2,873 |
0.4× |
| Partial Excision Distal Phalanx Finger (26236) |
$1,026.20 |
$1,466 |
0.6× |
| Partial excision, wing of ilium, symphysis pubis, or greater trochanter of femur, (craterization, saucerization) (eg,… (27071) |
$2,506 |
$3,580 |
0.7× |
| Partial hymenectomy or revision (56700) |
$501.90 |
$717 |
0.1× |
Partial removal of thyroid (60220) likely a partial charge, not the full procedure |
$1,910.30 |
$2,729 |
0.3× |
Partial thyroid lobectomy, unilateral; with or without isthmusectomy (60210) likely a partial charge, not the full procedure |
$1,621.90 |
$2,317 |
0.2× |
| Partical Excision Bone Phalanx Toe (28124) |
$1,108.80 |
$1,584 |
0.3× |
Patellectomy or hemipatellectomy (27350) likely a partial charge, not the full procedure |
$2,319.10 |
$3,313 |
0.3× |
| Pelvic examination under anesthesia (other than local) (57410) |
$291.20 |
$416 |
0.1× |
Percutaneous skeletal fixation of femoral fracture, proximal end, neck (27235) likely a partial charge, not the full procedure |
$2,084.60 |
$2,978 |
0.3× |
| Percutaneous skeletal fixation of fracture great toe, phalanx or phalanges, with manipulation Facility (28496) |
$1,060.50 |
$1,515 |
0.3× |
Percutaneous skeletal fixation of humeral condylar fracture, medial or lateral, with manipulation Facility (24582) likely a partial charge, not the full procedure |
$2,130.10 |
$3,043 |
0.3× |
| Percutaneous skeletal fixation of metacarpal fracture, each bone (26608) |
$1,430.10 |
$2,043 |
0.4× |
| Percutaneous skeletal fixation of metatarsophalangeal joint dislocation, with manipulation Facility (28636) |
$733.60 |
$1,048 |
0.2× |
| Percutaneous skeletal fixation of ulnar styloid fracture (25651) |
$1,290.10 |
$1,843 |
0.4× |
| Perineoplasty rpr perineum nonobstetrical spx (56810) |
$681.10 |
$973 |
0.2× |
| Peritoneal Lavage (49084) |
$242.20 |
$346 |
0.2× |
| Perq dev breast 1st us imag (19285) |
$399.70 |
$571 |
0.5× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$70.70 |
$101 |
0.3× |
| Perq skel fixj distal radial fx/epiphysl sep (25606) |
$1,633.10 |
$2,333 |
0.4× |
| Picc line placement (36569) |
$926.10 |
$1,323 |
0.5× |
| Pin hand dislocation (26676) |
$1,188.60 |
$1,698 |
0.3× |
| Placement of seton (46020) |
$627.90 |
$897 |
0.2× |
Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250) likely a partial charge, not the full procedure |
$1,598.80 |
$2,284 |
0.3× |
| Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) |
$136.50 |
$195 |
0.1× |
| Proctosigmoid w/biopsy (45305) |
$267.40 |
$382 |
0.2× |
| Prq Skel Fixj Dstl Phlngl Fx Fngr/Thmb Ea (26756) |
$994.70 |
$1,421 |
0.3× |
| Prq skel fixj metar fx w/manj (28476) |
$913.50 |
$1,305 |
0.3× |
| Prq skel fixj phlngl shft fx prox/middle px/f/t (26727) |
$1,411.90 |
$2,017 |
0.4× |
Prq Skel Fixj Sprcndylr/Transcndylr Humeral Fx (24538) likely a partial charge, not the full procedure |
$1,836.80 |
$2,624 |
0.2× |
| Prq Skeletal Fix Carpo/Metacarpal Fx Dislc Thumb (26650) |
$1,805.30 |
$2,579 |
0.5× |
| Punch biopsy skin single lesion (11104) |
$254.10 |
$363 |
0.6× |
| Puncture Aspiration Cyst Breast (19000) |
$119.70 |
$171 |
0.2× |
| Puncture aspiration of abscess hematoma bulla or cyst (10160) |
$244.30 |
$349 |
0.5× |
| Pvb Thoracic Single Injection Site W/Img Gid (64461) |
$333.20 |
$476 |
0.4× |
Quadricepsplasty (eg, Bennett or Thompson type) Facility (27430) likely a partial charge, not the full procedure |
$1,713.60 |
$2,448 |
0.2× |
| Radical resection of tumor, femur or knee Facility (27365) |
$5,308.80 |
$7,584 |
1.5× |
Reconstruction of dislocating patella; with extensor realignment and/or muscle advancement or release (eg, Campbell,… (27422) likely a partial charge, not the full procedure |
$1,939 |
$2,770 |
0.2× |
Reconstruction of dislocating patella; with patellectomy Facility (27424) likely a partial charge, not the full procedure |
$2,043.30 |
$2,919 |
0.3× |
| Reduce testis torsion (54600) |
$1,211.70 |
$1,731 |
0.3× |
Reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft Facility (24342) likely a partial charge, not the full procedure |
$1,787.80 |
$2,554 |
0.2× |
| Release finger contracture (26525) |
$1,761.20 |
$2,516 |
1.0× |
| Release wrist/forearm tendon (25295) |
$1,223.60 |
$1,748 |
0.3× |
| Relieve pressure on nerve(s) (64722) |
$1,558.90 |
$2,227 |
0.7× |
| Removal foreign body foot deep (28192) |
$833 |
$1,190 |
0.5× |
| Removal foreign body foot subcutaneous (28190) |
$364 |
$520 |
0.5× |
| Removal foreign body intranasal (30300) |
$332.85 |
$475.50 |
2.2× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$30.10 |
$43 |
0.5× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$92.40 |
$132 |
1.4× |
| Removal implant deep (20680) |
$7,205.45 |
$10,293.50 |
2.2× |
| Removal Implant Superficial Separate Procedure (20670) |
$856.80 |
$1,224 |
0.5× |
| Removal of arm foreign body (24200) |
$387.10 |
$553 |
0.2× |
Removal of bone for graft (20902) likely a partial charge, not the full procedure |
$1,009.40 |
$1,442 |
0.1× |
| Removal of bone lesion (23140) |
$2,084.60 |
$2,978 |
0.6× |
| Removal of fecal impaction or foreign body (separate procedure) under anesthesia (45915) |
$1,103.55 |
$1,576.50 |
0.8× |
| Removal of finger lesion (26210) |
$1,674.40 |
$2,392 |
0.9× |
| Removal of implant from finger or hand (26320) |
$918.40 |
$1,312 |
0.5× |
| Removal of indwelling tunneled pleural catheter with cuff (32552) |
$461.30 |
$659 |
0.7× |
| Removal of iud (58301) |
$220.50 |
$315 |
0.6× |
| Removal of knee cartilage (27332) |
$1,704.50 |
$2,435 |
0.5× |
| Removal of nail bed (11750) |
$319.20 |
$456 |
0.7× |
| Removal Of Tendon Lesion (27630) |
$966 |
$1,380 |
0.3× |
| Removal of testis (54520) |
$749.70 |
$1,071 |
0.2× |
| Removal of tunneled intraperitoneal catheter (49422) |
$501.20 |
$716 |
0.1× |
| Removal or revision of sling for stress incontinence (eg, fascia or synthetic) (57287) |
$1,946 |
$2,780 |
0.5× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$178.50 |
$255 |
0.8× |
| Removal subcutaneous cardiac rhythm monitor (33286) |
$244.30 |
$349 |
0.3× |
| Removal, under anesthesia, of external fixation system (20694) |
$1,002.40 |
$1,432 |
0.6× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$120.40 |
$172 |
0.4× |
| Remove anal fist subq (46270) |
$1,043.70 |
$1,491 |
0.3× |
| Remove drug implant device (11982) |
$222.60 |
$318 |
0.4× |
| Remove Lower Leg Bone Lesion (27635) |
$1,520.40 |
$2,172 |
0.4× |
| Remove Peritoneal Foreign Body (49402) |
$2,201.50 |
$3,145 |
0.6× |
| Remove Pilonidal Cyst Exten (11771) |
$1,187.20 |
$1,696 |
0.4× |
| Remove Tendon Sheath Lesion (26160) |
$980 |
$1,400 |
0.5× |
| Remove/Insert Drug Implant (11983) |
$279.30 |
$399 |
0.6× |
| Remv Ext Canal Foreign Body (69200) |
$158.90 |
$227 |
1.1× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$85.40 |
$122 |
0.6× |
Repair achilles tendon (27650) likely a partial charge, not the full procedure |
$1,798.30 |
$2,569 |
0.2× |
| Repair arm/leg nerve (64857) |
$2,413.60 |
$3,448 |
0.6× |
| Repair blood vessel direct hand finger (35207) |
$1,816.50 |
$2,595 |
0.5× |
Repair blood vessel direct neck (35201) unusually low: confirm this is the full procedure |
$2,382.10 |
$3,403 |
0.4× |
| Repair Blood Vessel Direct Upper Extremity (35206) |
$1,759.10 |
$2,513 |
0.5× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$1,166.20 |
$1,666 |
1.4× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$756 |
$1,080 |
1.7× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$951.30 |
$1,359 |
2.1× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$1,194.90 |
$1,707 |
2.6× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$590.80 |
$844 |
0.7× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$765.10 |
$1,093 |
0.9× |
| Repair extensor tendon finger w/o graft each (26418) |
$1,632.40 |
$2,332 |
0.9× |
Repair Fibula Nonunion (27726) unusually low: confirm this is the full procedure |
$2,484.30 |
$3,549 |
0.3× |
| Repair forearm tendon/muscle (25260) |
$1,673.70 |
$2,391 |
0.5× |
| Repair hand tendon (26410) |
$1,528.10 |
$2,183 |
0.9× |
| Repair initial femoral hernia, any age; reducible (49550) |
$1,528.80 |
$2,184 |
0.4× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
$1,348.20 |
$1,926 |
0.3× |
Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; reducible Facility (49500) likely a partial charge, not the full procedure |
$1,005.90 |
$1,437 |
0.1× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$647.50 |
$925 |
1.4× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$648.90 |
$927 |
1.4× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$693.70 |
$991 |
1.5× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$706.30 |
$1,009 |
1.6× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$454.30 |
$649 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$720.30 |
$1,029 |
1.6× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$649.60 |
$928 |
0.8× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$423.42 |
$604.88 |
0.9× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$529.20 |
$756 |
1.2× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$540.40 |
$772 |
1.2× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$844.20 |
$1,206 |
1.0× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$627.90 |
$897 |
1.4× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$987.70 |
$1,411 |
0.4× |
Repair lumbar hernia (49540) likely a partial charge, not the full procedure |
$1,833.30 |
$2,619 |
0.3× |
Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie,… (49595) unusually low: confirm this is the full procedure |
$2,790.90 |
$3,987 |
0.4× |
Repair of biceps tendon (24340) likely a partial charge, not the full procedure |
$1,628.20 |
$2,326 |
0.2× |
Repair of enterocele, vaginal approach (separate procedure) Facility (57268) likely a partial charge, not the full procedure |
$1,302.70 |
$1,861 |
0.2× |
Repair of humerus (24430) likely a partial charge, not the full procedure |
$2,421.30 |
$3,459 |
0.2× |
Repair of knee cartilage (27403) likely a partial charge, not the full procedure |
$1,704.50 |
$2,435 |
0.2× |
Repair of leg tendon each (27664) likely a partial charge, not the full procedure |
$1,341.90 |
$1,917 |
0.2× |
| Repair of leg tendon each (27658) |
$852.60 |
$1,218 |
0.2× |
| Repair of nail bed (11760) |
$444.50 |
$635 |
0.5× |
Repair of nonunion or malunion, radius OR ulna; with autograft (includes obtaining graft) Facility (25405) unusually low: confirm this is the full procedure |
$2,829.40 |
$4,042 |
0.3× |
Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) Facility (25400) likely a partial charge, not the full procedure |
$1,849.40 |
$2,642 |
0.2× |
Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; chronic Facility (23412) likely a partial charge, not the full procedure |
$1,961.40 |
$2,802 |
0.2× |
Repair of shoulder (23420) unusually low: confirm this is the full procedure |
$2,647.40 |
$3,782 |
0.3× |
Repair of tibia (27720) likely a partial charge, not the full procedure |
$2,319.80 |
$3,314 |
0.3× |
| Repair Profundus Tendon,Primary (26370) |
$2,102.10 |
$3,003 |
0.6× |
Repair radius & ulna (25415) unusually low: confirm this is the full procedure |
$2,564.80 |
$3,664 |
0.3× |
Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521) likely a partial charge, not the full procedure |
$1,907.50 |
$2,725 |
0.3× |
| Repair recurrent inguinal hernia, any age; reducible (49520) |
$1,452.50 |
$2,075 |
0.4× |
Repair rotator cuff acute (23410) likely a partial charge, not the full procedure |
$1,888.60 |
$2,698 |
0.2× |
Repair secondary achilles tendon w/wo graft (27654) likely a partial charge, not the full procedure |
$1,936.90 |
$2,767 |
0.2× |
| Repair Tendon Extensor Foot 1/2 Each Tendon (28208) |
$1,127 |
$1,610 |
0.3× |
Repair Tendon/Muscle Upper Arm/Elbow Ea (24341) likely a partial charge, not the full procedure |
$1,975.40 |
$2,822 |
0.2× |
| Repair tongue laceration (41252) |
$1,125.25 |
$1,607.50 |
4.3× |
| Repair Tongue Laceration (41250) |
$450.10 |
$643 |
0.9× |
| Repair, nonunion or malunion, femur, distal to head and neck; without graft (eg, compression technique) Facility (27470) |
$4,294.50 |
$6,135 |
0.5× |
Repair, nonunion or malunion; metatarsal, with or without bone graft (includes obtaining graft) Facility (28322) likely a partial charge, not the full procedure |
$2,152.50 |
$3,075 |
0.3× |
Repair, primary, disrupted ligament, ankle; both collateral ligaments Facility (27696) likely a partial charge, not the full procedure |
$1,429.40 |
$2,042 |
0.2× |
Repair, primary, disrupted ligament, ankle; collateral (27695) likely a partial charge, not the full procedure |
$1,109.50 |
$1,585 |
0.1× |
Repair, primary, torn ligament and/or capsule, knee; collateral (27405) likely a partial charge, not the full procedure |
$1,565.20 |
$2,236 |
0.2× |
Repair, primary, torn ligament and/or capsule, knee; collateral and cruciate ligaments Facility (27409) unusually low: confirm this is the full procedure |
$2,555 |
$3,650 |
0.3× |
Repair, tendon, extensor, foot; secondary with free graft, each tendon (includes obtaining graft) Facility (28210) likely a partial charge, not the full procedure |
$1,362.20 |
$1,946 |
0.2× |
Repair/graft achilles tendon (27652) likely a partial charge, not the full procedure |
$1,520.40 |
$2,172 |
0.2× |
Repair/revise wrist joint (25320) unusually low: confirm this is the full procedure |
$2,697.10 |
$3,853 |
0.3× |
| Reposition cv cath w/fluoro (36597) |
$167.30 |
$239 |
0.1× |
| Repr elbow lat ligmnt w/tiss (24343) |
$1,878.80 |
$2,684 |
0.5× |
| Resection, condyle(s), distal end of phalanx, each toe Facility (28153) |
$707.70 |
$1,011 |
0.2× |
Revis reconst shoulder joint (23473) unusually low: confirm this is the full procedure |
$4,440.80 |
$6,344 |
0.3× |
Revis shoulder arthrplsty humeral&glenoid compnt (23474) unusually low: confirm this is the full procedure |
$4,795 |
$6,850 |
0.3× |
| Revise ulnar nerve at elbow (64718) |
$1,389.50 |
$1,985 |
0.6× |
| Revise vag graft via vagina (57295) |
$1,288 |
$1,840 |
0.4× |
Revision of humerus (24400) likely a partial charge, not the full procedure |
$1,903.30 |
$2,719 |
0.2× |
| Revision of ileostomy; complicated (reconstruction in-depth) (separate procedure) Facility (44314) |
$2,677.50 |
$3,825 |
0.7× |
| Revision of lower leg tendon (27685) |
$1,269.80 |
$1,814 |
0.3× |
Revision of total hip arthroplasty; acetabular component only, with or without autograft or allograft Facility (27137) likely a partial charge, not the full procedure |
$4,026.40 |
$5,752 |
0.3× |
Revision of total knee arthroplasty, with or without allograft; 1 component Facility (27486) likely a partial charge, not the full procedure |
$3,208.10 |
$4,583 |
0.2× |
Revision of total knee arthroplasty, with or without allograft; femoral and entire tibial component Facility (27487) likely a partial charge, not the full procedure |
$3,997.70 |
$5,711 |
0.2× |
| Revj Ileostomy Simple Rls Superficial Scar Spx (44312) |
$1,577.80 |
$2,254 |
0.4× |
Revj tot hip arthrp bth w/wo agrft/algrft (27134) unusually low: confirm this is the full procedure |
$4,337.90 |
$6,197 |
0.3× |
Revj tot hip arthrp fem only w/wo algrft (27138) likely a partial charge, not the full procedure |
$3,474.10 |
$4,963 |
0.2× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$639.10 |
$913 |
0.2× |
| Rmvl foreign body pelvis/hip subcutaneous tiss (27086) |
$489.30 |
$699 |
0.2× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$441.70 |
$631 |
0.3× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$327.60 |
$468 |
0.5× |
| Rplc gtube revj gstrst trc (43763) |
$167.30 |
$239 |
0.6× |
| Rplcmt compl tun ctr vad w/subq port (36582) |
$769.30 |
$1,099 |
0.2× |
Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) likely a partial charge, not the full procedure |
$1,675.10 |
$2,393 |
0.2× |
| Rpr aa hernia 1st < 3 cm reducible (49591) |
$651.70 |
$931 |
0.2× |
Rpr aa hernia recr 3-10 cm reducible (49615) likely a partial charge, not the full procedure |
$1,437.10 |
$2,053 |
0.2× |
| Rpr Aa Hernia Recr < 3 Cm Reducible (49613) |
$1,499.40 |
$2,142 |
0.4× |
Rpr aa hrn 1st 3-10 rdc (49593) likely a partial charge, not the full procedure |
$1,288 |
$1,840 |
0.2× |
Rpr aa hrn 1st < 3 ncr/strn (49592) likely a partial charge, not the full procedure |
$1,206.80 |
$1,724 |
0.2× |
| Rpr Coltrl Ligm Mtcarphlngl/Iphal Jt (26540) |
$2,669.10 |
$3,813 |
0.7× |
| Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) |
$986.30 |
$1,409 |
3.7× |
Rpr non-union mtcrpl/phalanx (26546) unusually low: confirm this is the full procedure |
$2,437.40 |
$3,482 |
0.3× |
| Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) |
$851.90 |
$1,217 |
0.2× |
| Rpr tdn/musc xtnsr f/arm&/wrist prim 1 ea tdn (25270) |
$1,336.30 |
$1,909 |
0.4× |
| Rpr xtnsr tdn cntrl slip tiss w/lat band ea fngr (26426) |
$1,227.10 |
$1,753 |
0.3× |
| Rpr/advmnt flxr tdn n/z/2 w/o fr graft ea tendon (26350) |
$1,924.30 |
$2,749 |
0.5× |
| Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) |
$2,107.70 |
$3,011 |
0.6× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
$725.90 |
$1,037 |
0.5× |
| Shave skin lesion 0.5 cm/< (11300) |
$205.80 |
$294 |
0.5× |
| Shave skin lesion 0.5 cm/< (11305) |
$215.60 |
$308 |
1.0× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$137.90 |
$197 |
0.6× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) |
$294 |
$420 |
0.6× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$157.50 |
$225 |
0.7× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
$195.30 |
$279 |
0.9× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) |
$217.70 |
$311 |
0.5× |
| Shoulder arthroscopy (29805) |
$1,290.10 |
$1,843 |
0.4× |
| Shoulder Arthroscopy/Surgery (29819) |
$1,558.20 |
$2,226 |
0.4× |
| Shoulder Arthroscopy/Surgery (29825) |
$1,356.60 |
$1,938 |
0.4× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) |
$226.10 |
$323 |
0.5× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
$161.70 |
$231 |
0.7× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
$217 |
$310 |
0.5× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$184.10 |
$263 |
0.8× |
| Sigmoidoscopy flx w/rmvl tumor by hot bx forceps (45333) |
$261.10 |
$373 |
0.3× |
| Sigmoidoscopy w/biopsy (45331) |
$702.80 |
$1,004 |
0.7× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$304.12 |
$434.46 |
0.7× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$165.20 |
$236 |
0.7× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$168 |
$240 |
0.8× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$372.40 |
$532 |
1.7× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$396.55 |
$566.50 |
1.8× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$166.60 |
$238 |
0.7× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$424.20 |
$606 |
1.9× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$218.40 |
$312 |
1.0× |
| Skin splt grft trnk/arm/leg (15100) |
$1,948.10 |
$2,783 |
0.8× |
| Skin sub graft trnk/arm/leg (15271) |
$224.70 |
$321 |
0.3× |
| Skin Tissue Procedure (17999) |
$835.80 |
$1,194 |
3.7× |
| Skin tissue rearrangement (14040) |
$1,486.10 |
$2,123 |
0.6× |
| Skn splt a-grft fac/nck/hf/g (15120) |
$1,848 |
$2,640 |
0.5× |
| Slitting of prepuce (54001) |
$517.30 |
$739 |
0.2× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$175.70 |
$251 |
0.8× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$514.50 |
$735 |
1.1× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$347.90 |
$497 |
0.8× |
| Sperm washing for artificial insemination Facility (58323) |
$37.10 |
$53 |
0.2× |
| Sphincterotomy anal division sphincter spx (46080) |
$408.10 |
$583 |
0.1× |
| Spinal puncture lumbar diagnostic (62270) |
$598.85 |
$855.50 |
0.8× |
| Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) |
$1,313.20 |
$1,876 |
0.4× |
| Strapping unna boot (29580) |
$86.80 |
$124 |
0.5× |
| Surgical arthroscopy shoulder lmtd dbrdmt 1/2 (29822) |
$1,251.60 |
$1,788 |
0.3× |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) |
$1,100.40 |
$1,572 |
0.4× |
| Suture 1 Nerve Median Motor Thenar (64835) |
$2,162.30 |
$3,089 |
0.6× |
| Suture digital nerve hand/foot 1 nerve (64831) |
$1,877.40 |
$2,682 |
0.9× |
Suture infrapatellar tendon primary (27380) likely a partial charge, not the full procedure |
$1,453.90 |
$2,077 |
0.2× |
| Suture of 1 nerve ulnar motor (64836) |
$1,873.90 |
$2,677 |
0.5× |
Suture of infrapatellar tendon; secondary reconstruction, including fascial or tendon graft Facility (27381) likely a partial charge, not the full procedure |
$2,174.20 |
$3,106 |
0.3× |
Suture of quadriceps or hamstring muscle rupture; primary (27385) likely a partial charge, not the full procedure |
$1,418.90 |
$2,027 |
0.2× |
| Tangential biopsy skin single lesion (11102) |
$205.10 |
$293 |
0.5× |
| Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; each tendon Facility (25310) |
$1,813 |
$2,590 |
0.5× |
| Tenodesis long tendon biceps (23430) |
$9,159.15 |
$13,084.50 |
1.1× |
| Tenolysis, flexor or extensor tendon, leg and/or ankle; multiple tendons (through separate incisionºs») Facility (27681) |
$1,457.40 |
$2,082 |
0.4× |
| Tenotomy Elbow Lateral/Medial Percutaneous (24357) |
$1,099 |
$1,570 |
0.3× |
| Tenotomy flexor finger open each tendon (26455) |
$1,124.20 |
$1,606 |
0.6× |
| Tenotomy open extensor foot/toe each tendon (28234) |
$704.20 |
$1,006 |
0.4× |
Tenotomy shoulder area single tendon (23405) likely a partial charge, not the full procedure |
$1,618.40 |
$2,312 |
0.2× |
| Tenotomy, extensor, hand or finger, open, each tendon Facility (26460) |
$1,098.30 |
$1,569 |
0.6× |
| Tenotomy, open, tendon flexor; toe, single tendon (separate procedure) (28232) |
$648.20 |
$926 |
0.4× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$483.70 |
$691 |
0.7× |
Thoracoscopy w/bx pleura (32609) likely a partial charge, not the full procedure |
$609 |
$870 |
0.1× |
Thorsc dx lungs/pericar/med/pleural space w/o bx (32601) likely a partial charge, not the full procedure |
$811.30 |
$1,159 |
0.1× |
| Throat Surgery Procedure (42999) |
$289.76 |
$413.95 |
1.1× |
| Thyroid biopsy (60100) |
$228.90 |
$327 |
0.3× |
Thyroidectomy, total or complete (60240) likely a partial charge, not the full procedure |
$350.70 |
$501 |
0.1× |
| Tnot elbow lateral/medial debride open (24358) |
$1,228.50 |
$1,755 |
0.3× |
| Tnot elbow lateral/medial debride open tdn rpr (24359) |
$1,531.60 |
$2,188 |
0.4× |
| Total hip arthroplasty (27130) |
$15,902.95 |
$22,718.50 |
1.1× |
| Total Knee Arthroplasty (27447) |
$29,718.50 |
$42,455 |
2.1× |
| Trachelorrhaphy, plastic repair of uterine cervix, vaginal approach (57720) |
$822.50 |
$1,175 |
0.2× |
| Transplant hand tendon (26480) |
$2,034.20 |
$2,906 |
0.6× |
| Treat Big Toe Fracture (28505) |
$1,326.50 |
$1,895 |
0.4× |
Treat elbow fracture (24586) likely a partial charge, not the full procedure |
$2,961 |
$4,230 |
0.2× |
Treat Elbow Fracture (24635) unusually low: confirm this is the full procedure |
$2,534 |
$3,620 |
0.3× |
Treat fracture radius/ulna (25575) likely a partial charge, not the full procedure |
$2,083.20 |
$2,976 |
0.3× |
| Treat humerus fracture (24500) |
$980 |
$1,400 |
3.6× |
| Treat humerus fracture (23600) |
$924 |
$1,320 |
3.4× |
| Treat knee fracture (27532) |
$1,689.10 |
$2,413 |
0.5× |
Treat Knee Fracture (27535) likely a partial charge, not the full procedure |
$2,056.60 |
$2,938 |
0.3× |
Treat Knee Fracture (27540) likely a partial charge, not the full procedure |
$2,120.30 |
$3,029 |
0.3× |
| Treat Knee Fracture(S) (27538) |
$1,302 |
$1,860 |
4.7× |
Treat Kneecap Fracture (27524) likely a partial charge, not the full procedure |
$1,737.40 |
$2,482 |
0.2× |
Treat radius fracture (24665) likely a partial charge, not the full procedure |
$1,785 |
$2,550 |
0.2× |
Treat Thigh Fracture (27245) unusually low: confirm this is the full procedure |
$2,807 |
$4,010 |
0.3× |
| Treat vagina infection (57150) |
$78.40 |
$112 |
1.2× |
| Treat wrist bone fracture (25622) |
$614.60 |
$878 |
2.2× |
| Treat Wrist Bone Fracture (25630) |
$827.40 |
$1,182 |
3.0× |
| Treatment closed elbow dislocation req anes (24605) |
$1,256.50 |
$1,795 |
0.7× |
| Treatment closed elbow dislocation w/o anes (24600) |
$460.97 |
$658.52 |
1.7× |
Treatment of fibula fracture (27784) likely a partial charge, not the full procedure |
$1,842.40 |
$2,632 |
0.2× |
Treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with plate/screw type implant,… (27244) unusually low: confirm this is the full procedure |
$2,809.80 |
$4,014 |
0.3× |
| Treatment of missed abortion, completed surgically; first trimester (59820) |
$1,020.60 |
$1,458 |
0.3× |
| Treatment of missed abortion, completed surgically; second trimester (59821) |
$955.50 |
$1,365 |
0.3× |
| Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) |
$576.10 |
$823 |
2.1× |
Treatment of tibia fracture (27756) likely a partial charge, not the full procedure |
$1,343.30 |
$1,919 |
0.2× |
| Trim skin lesion (11055) |
$145.60 |
$208 |
0.7× |
| Trim skin lesions 2 to 4 (11056) |
$68.60 |
$98 |
0.3× |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
$28 |
$40 |
0.4× |
| Tubal ligation (58600) |
$954.80 |
$1,364 |
0.3× |
| Tube thoracostomy includes water seal (32551) |
$407.05 |
$581.50 |
0.2× |
Tx humral shaft fx w/insj imed implt w/w cerclge (24516) likely a partial charge, not the full procedure |
$1,976.80 |
$2,824 |
0.1× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
$840.70 |
$1,201 |
0.2× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$464.10 |
$663 |
0.6× |
| Tx superficial wound dehiscence w/packing (12021) |
$369.60 |
$528 |
0.8× |
Tx tibl shft fx imed implt w/wo screws&/cercla (27759) likely a partial charge, not the full procedure |
$2,289 |
$3,270 |
0.2× |
| Umbilectomy, omphalectomy, excision of umbilicus (separate procedure) Facility (49250) |
$1,522.50 |
$2,175 |
0.4× |
| Unlisted hysteroscopy procedure, uterus (58579) |
$793.80 |
$1,134 |
3.5× |
Unlisted laparoscopic procedure liver (47379) likely a partial charge, not the full procedure |
$1,396.50 |
$1,995 |
0.2× |
| Unlisted laparoscopy procedure stomach (43659) |
$4,827.20 |
$6,896 |
0.7× |
Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329) likely a partial charge, not the full procedure |
$1,691.90 |
$2,417 |
0.3× |
Unlisted laparoscopy procedure, appendix (44979) likely a partial charge, not the full procedure |
$1,558.20 |
$2,226 |
0.2× |
Unlisted laparoscopy procedure, biliary tract (47579) likely a partial charge, not the full procedure |
$905.10 |
$1,293 |
0.1× |
Unlisted laparoscopy procedure, bladder (51999) likely a partial charge, not the full procedure |
$1,696.10 |
$2,423 |
0.3× |
Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659) likely a partial charge, not the full procedure |
$1,833.30 |
$2,619 |
0.3× |
| Unlisted laparoscopy procedure, intestine (except rectum) (44238) |
$3,733.80 |
$5,334 |
0.6× |
Unlisted laparoscopy procedure, oviduct, ovary (58679) likely a partial charge, not the full procedure |
$858.20 |
$1,226 |
0.1× |
Unlisted laparoscopy procedure, spermatic cord (55559) likely a partial charge, not the full procedure |
$591.50 |
$845 |
0.1× |
Unlisted laparoscopy procedure, uterus (58578) unusually low: confirm this is the full procedure |
$2,069.90 |
$2,957 |
0.3× |
| Unlisted procedure anus (46999) |
$646.10 |
$923 |
0.6× |
| Unlisted procedure arthroscopy (29999) |
$1,497.30 |
$2,139 |
5.4× |
| Unlisted procedure colon (45399) |
$3,313.10 |
$4,733 |
3.2× |
| Unlisted procedure femur or knee (27599) |
$2,626.40 |
$3,752 |
9.6× |
| Unlisted procedure foot or toes (28899) |
$1,515.50 |
$2,165 |
5.5× |
| Unlisted Procedure Male Genital System (55899) |
$549.50 |
$785 |
2.0× |
| Unlisted procedure nervous system (64999) |
$262.15 |
$374.50 |
0.8× |
| Unlisted procedure pelvis/hip joint (27299) |
$3,054.80 |
$4,364 |
11.1× |
| Unlisted procedure rectum (45999) |
$2,892.40 |
$4,132 |
2.8× |
| Unlisted Procedure Small Intestine (44799) |
$2,735.60 |
$3,908 |
2.7× |
| Unlisted procedure, abdomen, peritoneum and omentum (49999) |
$2,152.50 |
$3,075 |
2.1× |
| Unlisted procedure, hands or fingers (26989) |
$1,050.70 |
$1,501 |
3.8× |
| Unlisted procedure, maternity care and delivery (59899) |
$461.30 |
$659 |
2.0× |
| Us urine capacity measure (51798) |
$84 |
$120 |
1.3× |
| Uterine Evacuation & Curettage Hydatidiform Mole (59870) |
$1,996.40 |
$2,852 |
0.6× |
| Vaginal delivery only (59409) |
$3,701.25 |
$5,287.50 |
1.0× |
Vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s), and/or ovary(s), with repair of enterocele… (58263) unusually low: confirm this is the full procedure |
$2,648.10 |
$3,783 |
0.5× |
Vaginal hysterectomy, for uterus 250 g or less; with repair of enterocele Facility (58270) unusually low: confirm this is the full procedure |
$2,361.80 |
$3,374 |
0.4× |
Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262) unusually low: confirm this is the full procedure |
$2,396.10 |
$3,423 |
0.4× |
| Vasectomy uni/bi spx w/postop semen exams (55250) |
$667.80 |
$954 |
0.3× |
| Venipuncture (36415) |
$14.70 |
$21 |
1.6× |
| Vulvectomy Simple Partial (56620) |
$1,520.40 |
$2,172 |
0.4× |
| Wedge excision skin nail fold (11765) |
$270.20 |
$386 |
0.6× |
| Wound prep trk/arm/leg 1st 100 sq cm (15002) |
$618.80 |
$884 |
0.8× |